Pancreatitis

Pancreatitis is inflammation of the pancreas, an organ that helps digest food and regulates blood sugar. It may occur suddenly (acute pancreatitis) or develop gradually over time (chronic pancreatitis). Common causes include gallstones, alcohol use, certain medications, and high triglyceride levels.

At The Medical Group of New Jersey, our gastroenterologists focus on identifying the cause of pancreatitis, providing coordinated hospital and outpatient care, and helping prevent recurrence through long-term management and lifestyle guidance.

Symptom Onset and Initial Evaluation

Pancreatitis often begins with sudden, severe upper abdominal pain that may radiate to the back or worsen after eating. Other symptoms may include:

• Nausea or vomiting
• Fever or chills
• Abdominal tenderness, bloating, or swelling
• Loss of appetite
• Rapid heart rate or signs of dehydration

During your evaluation, your gastroenterologist will ask about alcohol intake, medication use, recent gallbladder problems, and prior episodes of abdominal pain. A physical exam and testing help determine whether the condition is acute or chronic and guide the safest treatment approach.

Diagnosis

Accurate diagnosis is essential for effective treatment and complication prevention. Your gastroenterologist may recommend:

• Blood tests: Elevated amylase and lipase levels often confirm pancreatic inflammation.
• Abdominal ultrasound: Helps identify gallstones or bile duct obstruction.
• CT scan or MRI: Evaluates severity and detects complications such as fluid collections, inflammation, or necrosis.
• Endoscopic ultrasound (EUS) or ERCP: Used to closely examine the bile and pancreatic ducts and, when needed, remove gallstones or treat obstruction.

These tests help your care team confirm pancreatitis, identify the cause, and select the most appropriate therapy.

Treatment Options

Treatment depends on whether pancreatitis is acute or chronic and on the underlying cause.

Acute Pancreatitis

• Hospital-based care typically includes IV fluids, pain control, and bowel rest to allow the pancreas to recover.
• If gallstones are the cause, an endoscopic procedure or surgery may be needed to remove stones and prevent recurrence.
• Nutritional support may be provided if you are unable to eat initially.

Chronic Pancreatitis

• Long-term management focuses on reducing pain, supporting digestion, and preventing flare-ups.
• Pancreatic enzyme replacement therapy may improve nutrient absorption and reduce digestive symptoms.
• Avoiding alcohol and following a low-fat diet are often essential for long-term stability.
• Ongoing care may include pain management, diabetes screening, and nutrition counseling.

At The Medical Group of New Jersey, each treatment plan is personalized to support recovery from acute episodes and protect long-term pancreatic function.

Ongoing Management and Follow-Up

Follow-up care focuses on preventing recurrence, supporting nutrition, and maintaining quality of life. Your gastroenterologist may:

• Monitor pancreatic enzyme levels and blood sugar over time
• Review medications and lifestyle factors that may affect pancreatic health
• Recommend periodic imaging for chronic pancreatitis or recurrent symptoms
• Coordinate with dietitians to support balanced nutrition and healthy weight goals

With appropriate follow-up, many patients are able to reduce flare-ups and maintain long-term symptom control.

When to Seek Immediate Care

Seek immediate medical attention if you experience:

• Severe, persistent abdominal pain or ongoing vomiting
• Fever, chills, or a rapid heart rate
• Jaundice or yellowing of the skin or eyes
• Signs of dehydration, confusion, or worsening weakness

Prompt treatment can reduce the risk of complications such as infection, organ failure, or chronic pancreatic damage.